ArticleGastro hep advances2026
Neighborhood Social Cohesion Associated With Chronic Liver Disease Prevalence and All-Cause Mortality.
Article in Gastro hep advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
Background and Aims: Neighborhood social cohesion (NSC)-the degree of trust and solidarity within a community-may influence health through multiple pathways including shaping healthy norms, perception of safety, and stress. Whether NSC influences chronic liver disease (CLD) prevalence and associated mortality in the United States is unknown. Methods: Using 172,047 adults from the 2013-2018 National Health Interview Survey with linkage to National Death Index mortality data, NSC was measured using questions on help availability, accountability, trustworthiness, and connectedness among neighbors, with composite scores (4-16) categorized as minimal (4-7), low (8-10), moderate (11-13), and high (14-16). Logistic and Cox regression tested the association between NSC and CLD, and the interaction of NSC and CLD status on all-cause mortality, respectively. Results: Lower NSC was associated with increased odds of CLD: moderate NSC adjusted odds ratio (aOR): 1.10 (confidence interval (CI) 1.03-1.18), low NSC aOR: 1.23 (CI 1.12-1.35), and minimal NSC aOR: 1.36 (CI 1.22-1.52) vs high NSC (trend Conclusion: Lower NSC associates with CLD in a dose-response manner. US adults with CLD appear more vulnerable to low NSC and face higher mortality risk than those without CLD. Enhancing social cohesion may offer novel pathways to improve liver health.
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